Q. My parents are bothered by drooping eyelids and are considering upper blepharoplasty. Are there any types for which the effect is not very good?

Hello, this is AB Plastic Surgery.

I wrote this post to answer the questions you have been curious about.

Basically, upper blepharoplasty removes the stretched skin of the upper eyelid, so it has an effect on drooping eyelids in all cases. However, the results can be divided into whether the post-surgery line comes out clear and attractive, or whether it looks awkward and artificial and gives a strong impression.

If the distance between the eyebrows and the eyes is short, the degree of use of the forehead muscles decreases after surgery, and the eyebrows may drop, making the distance between the eyebrows and the eyes even shorter. If the eyebrows drop, the impression may look stronger and sharper. In such cases, a forehead lift, which can raise the eyebrows, may be appropriate.

Also, if the drooping is mainly on the outer part of the eye, the incision for upper blepharoplasty would need to extend farther outward, but there are limitations to making the incision line too long in upper blepharoplasty. Therefore, if the outer part is significantly drooping, a brow lift under the eyebrow may be more suitable.

In general, upper blepharoplasty removes the drooping upper eyelid, and depending on the case, the medial orbital fat and lateral orbital fat can also be removed. If the strength of eyelid opening is weak, ptosis correction can also be performed at the same time, so there are many advantages. However, as mentioned above, if the distance between the eyebrows and eyes is short, or if the outer part of the eye is more drooping, it is important to determine the appropriate surgical method through consultation with a specialist, since the drooping eyelids may be addressed through methods other than upper blepharoplasty.

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